评估减少老年人社会隔离和孤独感的干预措施对认知的影响:系统综述。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-07-22 DOI:10.1080/13607863.2024.2374933
C Baptista, A R Silva, M P Lima, R M Afonso
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引用次数: 0

摘要

目的:老年人的社会隔离和孤独是一项严峻的公共卫生挑战,与痴呆症风险增加有关。本系统综述分析了针对老年人社会隔离和孤独的干预措施及其认知效果,为未来的痴呆症预防计划提供参考:我们使用社会隔离、孤独、干预和认知结果等术语,系统地检索了 2023 年 2 月至 5 月的数据库(PUBMED、PsycINFO、SCOPUS、EBSCO 和 SAGE Journals),并在 2023 年 8 月至 11 月进行了更新。我们纳入了评估认知结果(如整体认知或特定领域)和非认知结果(包括抑郁、幸福感和功能性)的研究。我们使用 Cochrane 的 RoB 2、ROBINS-I 和其他评估工具对研究质量进行了评估,并对结果进行了叙述性综合:共纳入了 9 项研究(1025 名参与者),其中大多数随机试验(一项除外)的偏倚风险较高,而非随机研究的偏倚风险较低至中等。六项研究显示干预后认知功能有所改善,其中五项涉及技术。两项研究显示孤独感减轻,认知能力提高:技术干预有望减少社会隔离和孤独感,对认知功能产生积极影响。尽管如此,这些干预措施并没有直接影响社会隔离,这就需要在未来进行更大规模的研究,以更深入地了解这些方法对社会隔离人群的作用。促进社交互动的干预措施可以提高社会认同感、幸福感和生活兴趣。包括技术在内的多领域干预措施是有效的。局限性包括研究的稀缺性和异质性,强调需要对缓解社会隔离和孤独感以及增强认知功能的干预措施进行更有力的研究。
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Evaluating the cognitive effects of interventions to reduce social isolation and loneliness in older adults: a systematic review.

Objectives: Social isolation and loneliness among older adults present serious public health challenges linked to increased dementia risk. This systematic review analyzes interventions addressing social isolation and loneliness in older adults and their cognitive effects to inform future dementia prevention programs.

Method: We systematically searched databases (PUBMED, PsycINFO, SCOPUS, EBSCO, and SAGE Journals) from February to May 2023 and updated from August to November 2023 using terms like social isolation, loneliness, intervention, and cognitive outcome. We included studies that assessed cognitive outcomes (such as global cognition or specific domains) and non-cognitive outcomes (including depression, well-being, and functionality). Study quality was assessed using Cochrane's RoB 2, ROBINS-I, and other appraisal tools, with results synthesized narratively.

Results: Nine studies (1025 participants) were included, with a high risk of bias in most randomized trials (except one) and a low-to-moderate risk in non-randomized studies. Six studies showed improved cognitive function post-intervention, five of which involved technology. Two studies demonstrated reduced loneliness and improved cognition.

Conclusion: Technological interventions promise to reduce social isolation and loneliness, positively impacting cognitive function. Despite this, these interventions did not directly impact social isolation, which requires future and larger studies to understand more in-depth the role of these approaches for individuals with social isolation. The interventions promoting social interactions could lead to higher social identification, well-being, and interest in life. Multidomain interventions, including technology, are effective. Limitations include study scarcity and heterogeneity, highlighting the need for more robust research on interventions to alleviate social isolation and loneliness and enhance cognitive function.Systematic Review Registration PROSPERO CRD42023460933.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
期刊最新文献
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